Individual
FRED OBEDIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
18036 VENTURA BLVD, ENCINO, CA 91316-3516
(818) 345-2668
(818) 345-6480
Mailing address
18036 VENTURA BLVD, ENCINO, CA 91316-3516
(818) 345-2668
(818) 345-6480
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
101750
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02195F
—
CA
Enumeration date
05/11/2007
Last updated
12/01/2011
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